Unacceptable pain in oncology: The patients' perspective on reasons for absence of pain interventions

被引:4
作者
Stoorvogel, Hester [1 ,2 ,3 ]
van Haastregt, Jolanda [4 ,5 ]
Theunissen, Maurice [3 ]
Schoenmaekers, Janna [3 ,6 ]
Hoeben, Ann [3 ,7 ]
van den Beuken-van Everdingen, Marieke [3 ,8 ]
机构
[1] Radboud Univ Nijmegen, Med Ctr, Radboud Inst Hlth Sci, Dept Internal Med, Geert Grootepl Zuid 10, NL-6525 GA Nijmegen, Netherlands
[2] Radboud Univ Nijmegen, Med Ctr, Radboud Inst Hlth Sci, Dept IQ Healthcare, Nijmegen, Netherlands
[3] Maastricht Univ, Med Ctr, Ctr Expertise Palliat Care, Maastricht, Netherlands
[4] Maastricht Univ, Dept Hlth Serv Res, Maastricht, Netherlands
[5] Maastricht Univ, Care & Publ Hlth Res Inst CAPHRI, Maastricht, Netherlands
[6] Maastricht Univ, Med Ctr, GROW Sch Oncol & Dev Biol, Dept Pulm Dis, Maastricht, Netherlands
[7] Maastricht Univ, Med Ctr, GROW Sch Oncol, Dept Med Oncol, Maastricht, Netherlands
[8] Maastricht Univ, Med Ctr, Dept Anesthesiol & Pain Management, Maastricht, Netherlands
关键词
cancer pain; empowerment; oncology; pain management; patients; perception; CANCER PAIN; PREVALENCE; BARRIERS; QUALITY;
D O I
10.1111/ecc.13628
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objective Around 40% of oncology patients receive inadequate pain treatment. A previous study reported pain interventions for only 70% of patients who reported unacceptable pain at the self-service registration desk. The aim of this study is to gain insight in reasons for the absence of pain intervention among oncology patients who reported unacceptable pain. Methods In this mixed methods study, 20 patients visiting the oncology outpatient clinic were selected via patient record assessment and interviewed about their perceived reasons for absence of pain intervention. Results The reasons mentioned by the patients for absence of pain intervention included reluctance of the patient to discuss pain, no treatment preferred by the patient, focus of the physician on treatment of the disease, pain treatment difficult or impossible, and the perception that pain is an inevitable consequence of the cancer treatment. Almost 50% of the patients considered the physician responsible for the absence of pain intervention. Conclusion In conclusion, a variety of reasons for absence of pain intervention are reported by patients, including patient-related and health professional-related reasons. Improvements can be made by promoting regular discussion of pain during hospital visits and empowerment of patients.
引用
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页数:11
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